| NPI | 1013452929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELBA PATRICIA BONELLI President 856-983-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI01927200) |
| Enumeration Date | 2016-12-31 |
| Last Update Date | 2023-04-27 |